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"},{"payer_name":"Cigna","plan_name":"LocalPlus","standard_charge_dollar":79530.40,"methodology":"case rate","additional_payer_notes":"Days 1 - 10. "},{"payer_name":"Cigna","plan_name":"OAP","standard_charge_dollar":134319.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 10. "},{"payer_name":"Cigna","plan_name":"PPO","standard_charge_dollar":134319.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 10. 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"},{"payer_name":"United","plan_name":"OptionsPPO","standard_charge_percentage":24.90,"standard_charge_algorithm":"Reimbursement will be 24.9% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"VACCN","standard_charge_dollar":69773.27,"methodology":"fee schedule"},{"payer_name":"United Hospice","plan_name":"MCR","standard_charge_dollar":66284.61,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"MCR","standard_charge_dollar":71168.74,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"MCRHMO","standard_charge_dollar":71168.74,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PFFS","standard_charge_dollar":71168.74,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"POS","standard_charge_dollar":71168.74,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PPO","standard_charge_dollar":71168.74,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"SNP","standard_charge_dollar":71168.74,"methodology":"fee schedule"}]}]},{"description":"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ","code_information":[{"code":"923","type":"MS-DRG"}],"standard_charges":[{"setting":"inpatient","minimum":613.02,"maximum":19957.17,"payers_information":[{"payer_name":"Absolute Total Care ","plan_name":"MCR","standard_charge_dollar":8351.60,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"HMO","standard_charge_dollar":19957.17,"methodology":"fee schedule"},{"payer_name":"Aetna ","plan_name":"MCR","standard_charge_dollar":8269.72,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"OpenAccess","standard_charge_dollar":19957.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"POS","standard_charge_dollar":19957.17,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"PPO","standard_charge_dollar":19957.17,"methodology":"fee schedule"},{"payer_name":"Alliance Hospice","plan_name":"MCR","standard_charge_dollar":8187.84,"methodology":"fee schedule"},{"payer_name":"BCBS ","plan_name":"MCR","standard_charge_dollar":8433.48,"methodology":"fee schedule"},{"payer_name":"Clover","plan_name":"MCR","standard_charge_dollar":8433.48,"methodology":"fee schedule"},{"payer_name":"Coventry","plan_name":"MGMCR","standard_charge_dollar":8351.60,"methodology":"fee schedule"},{"payer_name":"Employer's Health Network","plan_name":"WCOMP","standard_charge_percentage":80.00,"standard_charge_algorithm":"Reimbursement will be 80% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Eon Health","plan_name":"MCR","standard_charge_dollar":8760.99,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 2. 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"},{"payer_name":"Cigna","plan_name":"LocalPlus","standard_charge_dollar":17015.20,"methodology":"case rate","additional_payer_notes":"Days 1 - 7. "},{"payer_name":"Cigna","plan_name":"OAP","standard_charge_dollar":28737.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 7. "},{"payer_name":"Cigna","plan_name":"PPO","standard_charge_dollar":28737.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 7. 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"},{"payer_name":"First Health","plan_name":"PPO","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Friday Health","plan_name":"HIX","standard_charge_dollar":8163.90,"methodology":"fee schedule"},{"payer_name":"Georgia Assurance","plan_name":"MCR","standard_charge_dollar":6319.81,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 1. 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"},{"payer_name":"QTC Medical Group","plan_name":"COMM","standard_charge_dollar":7222.64,"methodology":"fee schedule"},{"payer_name":"Regency Hospice","plan_name":"MCR","standard_charge_dollar":6018.87,"methodology":"fee schedule"},{"payer_name":"Rockport United Network","plan_name":"WORKERSCOMP","standard_charge_dollar":6587.56,"methodology":"fee schedule"},{"payer_name":"Shared Health","plan_name":"MGMCR","standard_charge_dollar":6319.81,"methodology":"fee schedule"},{"payer_name":"Southeast Hospice","plan_name":"MCR","standard_charge_dollar":6018.87,"methodology":"fee schedule"},{"payer_name":"St Joseph Hospice","plan_name":"COMM","standard_charge_dollar":6018.87,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"OptionsPPO","standard_charge_percentage":24.90,"standard_charge_algorithm":"Reimbursement will be 24.9% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"VACCN","standard_charge_dollar":6018.87,"methodology":"fee schedule"},{"payer_name":"United Hospice","plan_name":"MCR","standard_charge_dollar":5717.93,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"MCR","standard_charge_dollar":6139.25,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"MCRHMO","standard_charge_dollar":6139.25,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PFFS","standard_charge_dollar":6139.25,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"POS","standard_charge_dollar":6139.25,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PPO","standard_charge_dollar":6139.25,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"SNP","standard_charge_dollar":6139.25,"methodology":"fee schedule"}]}]},{"description":"OTHER DISORDERS OF NERVOUS SYSTEM WITH CC ","code_information":[{"code":"092","type":"MS-DRG"}],"standard_charges":[{"setting":"inpatient","minimum":613.02,"maximum":21038.39,"payers_information":[{"payer_name":"Absolute Total Care ","plan_name":"MCR","standard_charge_dollar":8607.48,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"HMO","standard_charge_dollar":21038.39,"methodology":"fee schedule"},{"payer_name":"Aetna ","plan_name":"MCR","standard_charge_dollar":8523.09,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"OpenAccess","standard_charge_dollar":21038.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"POS","standard_charge_dollar":21038.39,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"PPO","standard_charge_dollar":21038.39,"methodology":"fee schedule"},{"payer_name":"Alliance Hospice","plan_name":"MCR","standard_charge_dollar":8438.70,"methodology":"fee schedule"},{"payer_name":"BCBS ","plan_name":"MCR","standard_charge_dollar":8691.86,"methodology":"fee schedule"},{"payer_name":"Clover","plan_name":"MCR","standard_charge_dollar":8691.86,"methodology":"fee schedule"},{"payer_name":"Coventry","plan_name":"MGMCR","standard_charge_dollar":8607.48,"methodology":"fee schedule"},{"payer_name":"Employer's Health Network","plan_name":"WCOMP","standard_charge_percentage":80.00,"standard_charge_algorithm":"Reimbursement will be 80% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Eon Health","plan_name":"MCR","standard_charge_dollar":9029.41,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 3. "},{"payer_name":"First Health","plan_name":"PPO","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Friday Health","plan_name":"HIX","standard_charge_dollar":12663.25,"methodology":"fee schedule"},{"payer_name":"Georgia Assurance","plan_name":"MCR","standard_charge_dollar":8860.64,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 3. 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"},{"payer_name":"QTC Medical Group","plan_name":"COMM","standard_charge_dollar":10126.44,"methodology":"fee schedule"},{"payer_name":"Regency Hospice","plan_name":"MCR","standard_charge_dollar":8438.70,"methodology":"fee schedule"},{"payer_name":"Rockport United Network","plan_name":"WORKERSCOMP","standard_charge_dollar":9757.86,"methodology":"fee schedule"},{"payer_name":"Shared Health","plan_name":"MGMCR","standard_charge_dollar":8860.64,"methodology":"fee schedule"},{"payer_name":"Southeast Hospice","plan_name":"MCR","standard_charge_dollar":8438.70,"methodology":"fee schedule"},{"payer_name":"St Joseph Hospice","plan_name":"COMM","standard_charge_dollar":8438.70,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"OptionsPPO","standard_charge_percentage":24.90,"standard_charge_algorithm":"Reimbursement will be 24.9% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"VACCN","standard_charge_dollar":8438.70,"methodology":"fee schedule"},{"payer_name":"United Hospice","plan_name":"MCR","standard_charge_dollar":8016.77,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"MCR","standard_charge_dollar":8607.48,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"MCRHMO","standard_charge_dollar":8607.48,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PFFS","standard_charge_dollar":8607.48,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"POS","standard_charge_dollar":8607.48,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PPO","standard_charge_dollar":8607.48,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"SNP","standard_charge_dollar":8607.48,"methodology":"fee schedule"}]}]},{"description":"OTHER EAR, NOSE, MOUTH AND THROAT O.R. 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"},{"payer_name":"First Health","plan_name":"PPO","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Friday Health","plan_name":"HIX","standard_charge_dollar":21008.94,"methodology":"fee schedule"},{"payer_name":"Georgia Assurance","plan_name":"MCR","standard_charge_dollar":13573.52,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 2. "},{"payer_name":"Health Net ","plan_name":"FED","standard_charge_dollar":12539.35,"methodology":"fee schedule"},{"payer_name":"HEALTH ONE ALLIANCE","plan_name":"COMM","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Health One Alliance","plan_name":"COMMHIX","standard_charge_dollar":13701.48,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"MCRHMO","standard_charge_dollar":13056.43,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"PFFS","standard_charge_dollar":13056.43,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"PPO","standard_charge_dollar":13056.43,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"MGMCR","standard_charge_dollar":12927.16,"methodology":"fee schedule"},{"payer_name":"Identity MCO","plan_name":"WorkersComp","standard_charge_dollar":16793.00,"methodology":"fee schedule"},{"payer_name":"Industry Buying Group","plan_name":"COMM","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Medcost","plan_name":"NEWULTRA","standard_charge_percentage":50.60,"standard_charge_algorithm":"Reimbursement will be 50.6% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Medcost","plan_name":"STANDARD","standard_charge_percentage":64.50,"standard_charge_algorithm":"Reimbursement will be 64.5% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"MultiPlan ","plan_name":"Complementary","standard_charge_percentage":90.00,"standard_charge_algorithm":"Reimbursement will be 90% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"MultiPlan ","plan_name":"Primary","standard_charge_dollar":31439.63,"methodology":"fee schedule"},{"payer_name":"NHC Advantage","plan_name":"MGMCR","standard_charge_dollar":13832.06,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 2. 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"},{"payer_name":"Health Net ","plan_name":"FED","standard_charge_dollar":5974.32,"methodology":"fee schedule"},{"payer_name":"HEALTH ONE ALLIANCE","plan_name":"COMM","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Health One Alliance","plan_name":"COMMHIX","standard_charge_dollar":5494.32,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"MCRHMO","standard_charge_dollar":6220.68,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"PFFS","standard_charge_dollar":6220.68,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"PPO","standard_charge_dollar":6220.68,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"COMM","standard_charge_dollar":5422.48,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"MGMCR","standard_charge_dollar":6159.09,"methodology":"fee schedule"},{"payer_name":"Identity MCO","plan_name":"WorkersComp","standard_charge_dollar":7070.00,"methodology":"fee schedule"},{"payer_name":"Industry Buying Group","plan_name":"COMM","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Medcost","plan_name":"NEWULTRA","standard_charge_percentage":50.60,"standard_charge_algorithm":"Reimbursement will be 50.6% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Medcost","plan_name":"STANDARD","standard_charge_percentage":64.50,"standard_charge_algorithm":"Reimbursement will be 64.5% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"MultiPlan ","plan_name":"Complementary","standard_charge_percentage":90.00,"standard_charge_algorithm":"Reimbursement will be 90% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"MultiPlan ","plan_name":"Primary","standard_charge_dollar":12607.35,"methodology":"fee schedule"},{"payer_name":"NHC Advantage","plan_name":"MGMCR","standard_charge_dollar":6590.23,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 1. "},{"payer_name":"NovaNet","plan_name":"COMM","standard_charge_percentage":90.00,"standard_charge_algorithm":"Reimbursement will be 90% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Odyssey Hospice","plan_name":"COMM","standard_charge_dollar":613.02,"methodology":"per diem"},{"payer_name":"Peach State (Ambetter)","plan_name":"HIX","standard_charge_dollar":11036.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 3.  If billable gross charges exceed threshold of $275499.00, reimbursement will be $4415 per diem instead of the contracted rate."},{"payer_name":"Performax","plan_name":"COMM","standard_charge_percentage":68.00,"standard_charge_algorithm":"Reimbursement will be 68% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Prime Health ","plan_name":"WORKERSCOMP","standard_charge_dollar":6787.20,"methodology":"fee schedule"},{"payer_name":"Pruitt Health","plan_name":"MCR","standard_charge_dollar":6590.23,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 1. "},{"payer_name":"QTC Medical Group","plan_name":"COMM","standard_charge_dollar":7390.91,"methodology":"fee schedule"},{"payer_name":"Regency Hospice","plan_name":"MCR","standard_charge_dollar":6159.09,"methodology":"fee schedule"},{"payer_name":"Rockport United Network","plan_name":"WORKERSCOMP","standard_charge_dollar":6928.60,"methodology":"fee schedule"},{"payer_name":"Shared Health","plan_name":"MGMCR","standard_charge_dollar":6467.05,"methodology":"fee schedule"},{"payer_name":"Southeast Hospice","plan_name":"MCR","standard_charge_dollar":6159.09,"methodology":"fee schedule"},{"payer_name":"St Joseph Hospice","plan_name":"COMM","standard_charge_dollar":6159.09,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"OptionsPPO","standard_charge_percentage":24.90,"standard_charge_algorithm":"Reimbursement will be 24.9% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"VACCN","standard_charge_dollar":6159.09,"methodology":"fee schedule"},{"payer_name":"United Hospice","plan_name":"MCR","standard_charge_dollar":5851.14,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"MCR","standard_charge_dollar":6282.28,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"MCRHMO","standard_charge_dollar":6282.28,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PFFS","standard_charge_dollar":6282.28,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"POS","standard_charge_dollar":6282.28,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PPO","standard_charge_dollar":6282.28,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"SNP","standard_charge_dollar":6282.28,"methodology":"fee schedule"}]}]},{"description":"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ","code_information":[{"code":"275","type":"MS-DRG"}],"standard_charges":[{"setting":"inpatient","minimum":613.02,"maximum":130009.47,"payers_information":[{"payer_name":"Absolute Total Care ","plan_name":"MCR","standard_charge_dollar":48023.68,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"HMO","standard_charge_dollar":130009.47,"methodology":"fee schedule"},{"payer_name":"Aetna ","plan_name":"MCR","standard_charge_dollar":47552.86,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"OpenAccess","standard_charge_dollar":130009.47,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"POS","standard_charge_dollar":130009.47,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"PPO","standard_charge_dollar":130009.47,"methodology":"fee schedule"},{"payer_name":"Alliance Hospice","plan_name":"MCR","standard_charge_dollar":47082.04,"methodology":"fee schedule"},{"payer_name":"BCBS ","plan_name":"MCR","standard_charge_dollar":48494.50,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"HMO","standard_charge_dollar":71842.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 8.  If billable gross charges exceed threshold of $393981.00, reimbursement will be 22.3% of billable gross charges instead of the contracted rate."},{"payer_name":"Cigna","plan_name":"LocalPlus","standard_charge_dollar":42536.90,"methodology":"case rate","additional_payer_notes":"Days 1 - 8.  If billable gross charges exceed threshold of $393981.00, reimbursement will be 16.9% of billable gross charges instead of the contracted rate."},{"payer_name":"Cigna","plan_name":"OAP","standard_charge_dollar":71842.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 8.  If billable gross charges exceed threshold of $393981.00, reimbursement will be 22.3% of billable gross charges instead of the contracted rate."},{"payer_name":"Cigna","plan_name":"PPO","standard_charge_dollar":71842.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 8.  If billable gross charges exceed threshold of $393981.00, reimbursement will be 22.3% of billable gross charges instead of the contracted rate."},{"payer_name":"Clover","plan_name":"MCR","standard_charge_dollar":48494.50,"methodology":"fee schedule"},{"payer_name":"Coventry","plan_name":"MGMCR","standard_charge_dollar":48023.68,"methodology":"fee schedule"},{"payer_name":"Employer's Health Network","plan_name":"WCOMP","standard_charge_percentage":80.00,"standard_charge_algorithm":"Reimbursement will be 80% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Eon Health","plan_name":"MCR","standard_charge_dollar":50377.78,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 8. "},{"payer_name":"First Health","plan_name":"PPO","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Friday Health","plan_name":"HIX","standard_charge_dollar":84515.34,"methodology":"fee schedule"},{"payer_name":"Georgia Assurance","plan_name":"MCR","standard_charge_dollar":49436.14,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 8. "},{"payer_name":"Health Net ","plan_name":"FED","standard_charge_dollar":45669.58,"methodology":"fee schedule"},{"payer_name":"HEALTH ONE ALLIANCE","plan_name":"COMM","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Health One Alliance","plan_name":"COMMHIX","standard_charge_dollar":55118.70,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"MCRHMO","standard_charge_dollar":47552.86,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"PFFS","standard_charge_dollar":47552.86,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"PPO","standard_charge_dollar":47552.86,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"MGMCR","standard_charge_dollar":47082.04,"methodology":"fee schedule"},{"payer_name":"Identity MCO","plan_name":"WorkersComp","standard_charge_dollar":68277.00,"methodology":"fee schedule"},{"payer_name":"Industry Buying Group","plan_name":"COMM","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Medcost","plan_name":"NEWULTRA","standard_charge_percentage":50.60,"standard_charge_algorithm":"Reimbursement will be 50.6% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Medcost","plan_name":"STANDARD","standard_charge_percentage":64.50,"standard_charge_algorithm":"Reimbursement will be 64.5% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"MultiPlan ","plan_name":"Complementary","standard_charge_percentage":90.00,"standard_charge_algorithm":"Reimbursement will be 90% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"MultiPlan ","plan_name":"Primary","standard_charge_dollar":126476.22,"methodology":"fee schedule"},{"payer_name":"NHC Advantage","plan_name":"MGMCR","standard_charge_dollar":50377.78,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 8. "},{"payer_name":"NovaNet","plan_name":"COMM","standard_charge_percentage":90.00,"standard_charge_algorithm":"Reimbursement will be 90% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Odyssey Hospice","plan_name":"COMM","standard_charge_dollar":613.02,"methodology":"per diem"},{"payer_name":"Peach State (Ambetter)","plan_name":"HIX","standard_charge_dollar":13245.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 3.  If billable gross charges exceed threshold of $1000.00, charges over the threshold will be paid at 37% of billable gross charges in addition to the contracteded rate."},{"payer_name":"Performax","plan_name":"COMM","standard_charge_percentage":68.00,"standard_charge_algorithm":"Reimbursement will be 68% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Prime Health ","plan_name":"WORKERSCOMP","standard_charge_dollar":65545.92,"methodology":"fee schedule"},{"payer_name":"Pruitt Health","plan_name":"MCR","standard_charge_dollar":50377.78,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 8. "},{"payer_name":"QTC Medical Group","plan_name":"COMM","standard_charge_dollar":56498.45,"methodology":"fee schedule"},{"payer_name":"Regency Hospice","plan_name":"MCR","standard_charge_dollar":47082.04,"methodology":"fee schedule"},{"payer_name":"Rockport United Network","plan_name":"WORKERSCOMP","standard_charge_dollar":66911.46,"methodology":"fee schedule"},{"payer_name":"Shared Health","plan_name":"MGMCR","standard_charge_dollar":49436.14,"methodology":"fee schedule"},{"payer_name":"Southeast Hospice","plan_name":"MCR","standard_charge_dollar":47082.04,"methodology":"fee schedule"},{"payer_name":"St Joseph Hospice","plan_name":"COMM","standard_charge_dollar":47082.04,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"AllPayerAppendix","standard_charge_dollar":60001.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 7. "},{"payer_name":"United","plan_name":"NarrowNetworkIndividualExchange","standard_charge_dollar":45381.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 7. "},{"payer_name":"United","plan_name":"OptionsPPO","standard_charge_percentage":24.90,"standard_charge_algorithm":"Reimbursement will be 24.9% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"VACCN","standard_charge_dollar":47082.04,"methodology":"fee schedule"},{"payer_name":"United Hospice","plan_name":"MCR","standard_charge_dollar":44727.94,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"MCR","standard_charge_dollar":48023.68,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"MCRHMO","standard_charge_dollar":48023.68,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PFFS","standard_charge_dollar":48023.68,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"POS","standard_charge_dollar":48023.68,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PPO","standard_charge_dollar":48023.68,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"SNP","standard_charge_dollar":48023.68,"methodology":"fee schedule"}]}]},{"description":"CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ","code_information":[{"code":"259","type":"MS-DRG"}],"standard_charges":[{"setting":"inpatient","minimum":613.02,"maximum":32336.32,"payers_information":[{"payer_name":"Absolute Total Care ","plan_name":"MCR","standard_charge_dollar":13192.26,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"HMO","standard_charge_dollar":32336.32,"methodology":"fee schedule"},{"payer_name":"Aetna ","plan_name":"MCR","standard_charge_dollar":13062.93,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"OpenAccess","standard_charge_dollar":32336.32,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"POS","standard_charge_dollar":32336.32,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"PPO","standard_charge_dollar":32336.32,"methodology":"fee schedule"},{"payer_name":"Alliance Hospice","plan_name":"MCR","standard_charge_dollar":12933.59,"methodology":"fee schedule"},{"payer_name":"BCBS ","plan_name":"MCR","standard_charge_dollar":13321.60,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"HMO","standard_charge_dollar":32140.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 3.  If billable gross charges exceed threshold of $393981.00, reimbursement will be 22.3% of billable gross charges instead of the contracted rate."},{"payer_name":"Cigna","plan_name":"LocalPlus","standard_charge_dollar":19029.70,"methodology":"case rate","additional_payer_notes":"Days 1 - 3.  If billable gross charges exceed threshold of $393981.00, reimbursement will be 16.9% of billable gross charges instead of the contracted rate."},{"payer_name":"Cigna","plan_name":"OAP","standard_charge_dollar":32140.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 3.  If billable gross charges exceed threshold of $393981.00, reimbursement will be 22.3% of billable gross charges instead of the contracted rate."},{"payer_name":"Cigna","plan_name":"PPO","standard_charge_dollar":32140.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 3.  If billable gross charges exceed threshold of $393981.00, reimbursement will be 22.3% of billable gross charges instead of the contracted rate."},{"payer_name":"Clover","plan_name":"MCR","standard_charge_dollar":13321.60,"methodology":"fee schedule"},{"payer_name":"Coventry","plan_name":"MGMCR","standard_charge_dollar":13192.26,"methodology":"fee schedule"},{"payer_name":"Employer's Health Network","plan_name":"WCOMP","standard_charge_percentage":80.00,"standard_charge_algorithm":"Reimbursement will be 80% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Eon Health","plan_name":"MCR","standard_charge_dollar":13838.94,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 2. "},{"payer_name":"First Health","plan_name":"PPO","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Friday Health","plan_name":"HIX","standard_charge_dollar":21020.90,"methodology":"fee schedule"},{"payer_name":"Georgia Assurance","plan_name":"MCR","standard_charge_dollar":13580.27,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 2. "},{"payer_name":"Health Net ","plan_name":"FED","standard_charge_dollar":12545.58,"methodology":"fee schedule"},{"payer_name":"HEALTH ONE ALLIANCE","plan_name":"COMM","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Health One Alliance","plan_name":"COMMHIX","standard_charge_dollar":13709.28,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"MCRHMO","standard_charge_dollar":13062.93,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"PFFS","standard_charge_dollar":13062.93,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"PPO","standard_charge_dollar":13062.93,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"COMM","standard_charge_dollar":16260.74,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"MGMCR","standard_charge_dollar":12933.59,"methodology":"fee schedule"},{"payer_name":"Identity MCO","plan_name":"WorkersComp","standard_charge_dollar":18114.00,"methodology":"fee schedule"},{"payer_name":"Industry Buying Group","plan_name":"COMM","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Medcost","plan_name":"NEWULTRA","standard_charge_percentage":50.60,"standard_charge_algorithm":"Reimbursement will be 50.6% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Medcost","plan_name":"STANDARD","standard_charge_percentage":64.50,"standard_charge_algorithm":"Reimbursement will be 64.5% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"MultiPlan ","plan_name":"Complementary","standard_charge_percentage":90.00,"standard_charge_algorithm":"Reimbursement will be 90% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"MultiPlan ","plan_name":"Primary","standard_charge_dollar":31457.52,"methodology":"fee schedule"},{"payer_name":"NHC Advantage","plan_name":"MGMCR","standard_charge_dollar":13838.94,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 2. "},{"payer_name":"NovaNet","plan_name":"COMM","standard_charge_percentage":90.00,"standard_charge_algorithm":"Reimbursement will be 90% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Odyssey Hospice","plan_name":"COMM","standard_charge_dollar":613.02,"methodology":"per diem"},{"payer_name":"Peach State (Ambetter)","plan_name":"HIX","standard_charge_dollar":13245.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 3.  If billable gross charges exceed threshold of $275499.00, reimbursement will be $4415 per diem instead of the contracted rate."},{"payer_name":"Performax","plan_name":"COMM","standard_charge_percentage":68.00,"standard_charge_algorithm":"Reimbursement will be 68% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Prime Health ","plan_name":"WORKERSCOMP","standard_charge_dollar":17389.44,"methodology":"fee schedule"},{"payer_name":"Pruitt Health","plan_name":"MCR","standard_charge_dollar":13838.94,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 2. "},{"payer_name":"QTC Medical Group","plan_name":"COMM","standard_charge_dollar":15520.31,"methodology":"fee schedule"},{"payer_name":"Regency Hospice","plan_name":"MCR","standard_charge_dollar":12933.59,"methodology":"fee schedule"},{"payer_name":"Rockport United Network","plan_name":"WORKERSCOMP","standard_charge_dollar":17751.72,"methodology":"fee schedule"},{"payer_name":"Shared Health","plan_name":"MGMCR","standard_charge_dollar":13580.27,"methodology":"fee schedule"},{"payer_name":"Southeast Hospice","plan_name":"MCR","standard_charge_dollar":12933.59,"methodology":"fee schedule"},{"payer_name":"St Joseph Hospice","plan_name":"COMM","standard_charge_dollar":12933.59,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"AllPayerAppendix","standard_charge_dollar":15020.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 3. "},{"payer_name":"United","plan_name":"NarrowNetworkIndividualExchange","standard_charge_dollar":11361.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 3. "},{"payer_name":"United","plan_name":"OptionsPPO","standard_charge_percentage":24.90,"standard_charge_algorithm":"Reimbursement will be 24.9% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"VACCN","standard_charge_dollar":12933.59,"methodology":"fee schedule"},{"payer_name":"United Hospice","plan_name":"MCR","standard_charge_dollar":12286.91,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"MCR","standard_charge_dollar":13192.26,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"MCRHMO","standard_charge_dollar":13192.26,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PFFS","standard_charge_dollar":13192.26,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"POS","standard_charge_dollar":13192.26,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PPO","standard_charge_dollar":13192.26,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"SNP","standard_charge_dollar":13192.26,"methodology":"fee schedule"}]}]},{"description":"CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ","code_information":[{"code":"219","type":"MS-DRG"}],"standard_charges":[{"setting":"inpatient","minimum":613.02,"maximum":142345.33,"payers_information":[{"payer_name":"Absolute Total Care ","plan_name":"MCR","standard_charge_dollar":52422.80,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"HMO","standard_charge_dollar":142345.33,"methodology":"fee schedule"},{"payer_name":"Aetna ","plan_name":"MCR","standard_charge_dollar":51908.85,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"OpenAccess","standard_charge_dollar":142345.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"POS","standard_charge_dollar":142345.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"PPO","standard_charge_dollar":142345.33,"methodology":"fee schedule"},{"payer_name":"Alliance Hospice","plan_name":"MCR","standard_charge_dollar":51394.90,"methodology":"fee schedule"},{"payer_name":"BCBS ","plan_name":"MCR","standard_charge_dollar":52936.75,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"HMO","standard_charge_dollar":64280.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 7. "},{"payer_name":"Cigna","plan_name":"LocalPlus","standard_charge_dollar":38060.50,"methodology":"case rate","additional_payer_notes":"Days 1 - 7. "},{"payer_name":"Cigna","plan_name":"OAP","standard_charge_dollar":64280.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 7. "},{"payer_name":"Cigna","plan_name":"PPO","standard_charge_dollar":64280.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 7. 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"},{"payer_name":"First Health","plan_name":"PPO","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Friday Health","plan_name":"HIX","standard_charge_dollar":8605.22,"methodology":"fee schedule"},{"payer_name":"Georgia Assurance","plan_name":"MCR","standard_charge_dollar":6569.03,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 2. 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"},{"payer_name":"NovaNet","plan_name":"COMM","standard_charge_percentage":90.00,"standard_charge_algorithm":"Reimbursement will be 90% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Odyssey Hospice","plan_name":"COMM","standard_charge_dollar":613.02,"methodology":"per diem"},{"payer_name":"Peach State (Ambetter)","plan_name":"HIX","standard_charge_dollar":11036.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 3.  If billable gross charges exceed threshold of $275499.00, reimbursement will be $4415 per diem instead of the contracted rate."},{"payer_name":"Performax","plan_name":"COMM","standard_charge_percentage":68.00,"standard_charge_algorithm":"Reimbursement will be 68% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Prime Health ","plan_name":"WORKERSCOMP","standard_charge_dollar":14935.68,"methodology":"fee schedule"},{"payer_name":"Pruitt Health","plan_name":"MCR","standard_charge_dollar":13017.86,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 2. "},{"payer_name":"QTC Medical Group","plan_name":"COMM","standard_charge_dollar":14599.46,"methodology":"fee schedule"},{"payer_name":"Regency Hospice","plan_name":"MCR","standard_charge_dollar":12166.22,"methodology":"fee schedule"},{"payer_name":"Rockport United Network","plan_name":"WORKERSCOMP","standard_charge_dollar":15246.84,"methodology":"fee schedule"},{"payer_name":"Shared Health","plan_name":"MGMCR","standard_charge_dollar":12774.53,"methodology":"fee schedule"},{"payer_name":"Southeast Hospice","plan_name":"MCR","standard_charge_dollar":12166.22,"methodology":"fee schedule"},{"payer_name":"St Joseph Hospice","plan_name":"COMM","standard_charge_dollar":12166.22,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"OptionsPPO","standard_charge_percentage":24.90,"standard_charge_algorithm":"Reimbursement will be 24.9% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"VACCN","standard_charge_dollar":12166.22,"methodology":"fee schedule"},{"payer_name":"United Hospice","plan_name":"MCR","standard_charge_dollar":11557.91,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"MCR","standard_charge_dollar":12409.54,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"MCRHMO","standard_charge_dollar":12409.54,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PFFS","standard_charge_dollar":12409.54,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"POS","standard_charge_dollar":12409.54,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PPO","standard_charge_dollar":12409.54,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"SNP","standard_charge_dollar":12409.54,"methodology":"fee schedule"}]}]},{"description":"CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ","code_information":[{"code":"276","type":"MS-DRG"}],"standard_charges":[{"setting":"inpatient","minimum":613.02,"maximum":113957.21,"payers_information":[{"payer_name":"Absolute Total Care ","plan_name":"MCR","standard_charge_dollar":42299.26,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"HMO","standard_charge_dollar":113957.21,"methodology":"fee schedule"},{"payer_name":"Aetna ","plan_name":"MCR","standard_charge_dollar":41884.56,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"OpenAccess","standard_charge_dollar":113957.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"POS","standard_charge_dollar":113957.21,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"PPO","standard_charge_dollar":113957.21,"methodology":"fee schedule"},{"payer_name":"Alliance Hospice","plan_name":"MCR","standard_charge_dollar":41469.86,"methodology":"fee schedule"},{"payer_name":"BCBS ","plan_name":"MCR","standard_charge_dollar":42713.96,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"HMO","standard_charge_dollar":64280.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 7.  If billable gross charges exceed threshold of $393981.00, reimbursement will be 22.3% of billable gross charges instead of the contracted rate."},{"payer_name":"Cigna","plan_name":"LocalPlus","standard_charge_dollar":38060.50,"methodology":"case rate","additional_payer_notes":"Days 1 - 7.  If billable gross charges exceed threshold of $393981.00, reimbursement will be 16.9% of billable gross charges instead of the contracted rate."},{"payer_name":"Cigna","plan_name":"OAP","standard_charge_dollar":64280.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 7.  If billable gross charges exceed threshold of $393981.00, reimbursement will be 22.3% of billable gross charges instead of the contracted rate."},{"payer_name":"Cigna","plan_name":"PPO","standard_charge_dollar":64280.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 7.  If billable gross charges exceed threshold of $393981.00, reimbursement will be 22.3% of billable gross charges instead of the contracted rate."},{"payer_name":"Clover","plan_name":"MCR","standard_charge_dollar":42713.96,"methodology":"fee schedule"},{"payer_name":"Coventry","plan_name":"MGMCR","standard_charge_dollar":42299.26,"methodology":"fee schedule"},{"payer_name":"Employer's Health Network","plan_name":"WCOMP","standard_charge_percentage":80.00,"standard_charge_algorithm":"Reimbursement will be 80% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Eon Health","plan_name":"MCR","standard_charge_dollar":44372.75,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 6. "},{"payer_name":"First Health","plan_name":"PPO","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Friday Health","plan_name":"HIX","standard_charge_dollar":74080.24,"methodology":"fee schedule"},{"payer_name":"Georgia Assurance","plan_name":"MCR","standard_charge_dollar":43543.35,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 6. "},{"payer_name":"Health Net ","plan_name":"FED","standard_charge_dollar":40225.76,"methodology":"fee schedule"},{"payer_name":"HEALTH ONE ALLIANCE","plan_name":"COMM","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Health One Alliance","plan_name":"COMMHIX","standard_charge_dollar":48313.20,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"MCRHMO","standard_charge_dollar":41884.56,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"PFFS","standard_charge_dollar":41884.56,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"PPO","standard_charge_dollar":41884.56,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"MGMCR","standard_charge_dollar":41469.86,"methodology":"fee schedule"},{"payer_name":"Identity MCO","plan_name":"WorkersComp","standard_charge_dollar":60265.00,"methodology":"fee schedule"},{"payer_name":"Industry Buying Group","plan_name":"COMM","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Medcost","plan_name":"NEWULTRA","standard_charge_percentage":50.60,"standard_charge_algorithm":"Reimbursement will be 50.6% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Medcost","plan_name":"STANDARD","standard_charge_percentage":64.50,"standard_charge_algorithm":"Reimbursement will be 64.5% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"MultiPlan ","plan_name":"Complementary","standard_charge_percentage":90.00,"standard_charge_algorithm":"Reimbursement will be 90% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"MultiPlan ","plan_name":"Primary","standard_charge_dollar":110860.21,"methodology":"fee schedule"},{"payer_name":"NHC Advantage","plan_name":"MGMCR","standard_charge_dollar":44372.75,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 6. "},{"payer_name":"NovaNet","plan_name":"COMM","standard_charge_percentage":90.00,"standard_charge_algorithm":"Reimbursement will be 90% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Odyssey Hospice","plan_name":"COMM","standard_charge_dollar":613.02,"methodology":"per diem"},{"payer_name":"Peach State (Ambetter)","plan_name":"HIX","standard_charge_dollar":13245.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 3.  If billable gross charges exceed threshold of $275499.00, reimbursement will be $4415 per diem instead of the contracted rate."},{"payer_name":"Performax","plan_name":"COMM","standard_charge_percentage":68.00,"standard_charge_algorithm":"Reimbursement will be 68% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Prime Health ","plan_name":"WORKERSCOMP","standard_charge_dollar":57854.40,"methodology":"fee schedule"},{"payer_name":"Pruitt Health","plan_name":"MCR","standard_charge_dollar":44372.75,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 6. "},{"payer_name":"QTC Medical Group","plan_name":"COMM","standard_charge_dollar":49763.83,"methodology":"fee schedule"},{"payer_name":"Regency Hospice","plan_name":"MCR","standard_charge_dollar":41469.86,"methodology":"fee schedule"},{"payer_name":"Rockport United Network","plan_name":"WORKERSCOMP","standard_charge_dollar":59059.70,"methodology":"fee schedule"},{"payer_name":"Shared Health","plan_name":"MGMCR","standard_charge_dollar":43543.35,"methodology":"fee schedule"},{"payer_name":"Southeast Hospice","plan_name":"MCR","standard_charge_dollar":41469.86,"methodology":"fee schedule"},{"payer_name":"St Joseph Hospice","plan_name":"COMM","standard_charge_dollar":41469.86,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"AllPayerAppendix","standard_charge_dollar":47073.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 4. "},{"payer_name":"United","plan_name":"NarrowNetworkIndividualExchange","standard_charge_dollar":35604.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 4. "},{"payer_name":"United","plan_name":"OptionsPPO","standard_charge_percentage":24.90,"standard_charge_algorithm":"Reimbursement will be 24.9% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"VACCN","standard_charge_dollar":41469.86,"methodology":"fee schedule"},{"payer_name":"United Hospice","plan_name":"MCR","standard_charge_dollar":39396.37,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"MCR","standard_charge_dollar":42299.26,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"MCRHMO","standard_charge_dollar":42299.26,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PFFS","standard_charge_dollar":42299.26,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"POS","standard_charge_dollar":42299.26,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PPO","standard_charge_dollar":42299.26,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"SNP","standard_charge_dollar":42299.26,"methodology":"fee schedule"}]}]},{"description":"CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ","code_information":[{"code":"261","type":"MS-DRG"}],"standard_charges":[{"setting":"inpatient","minimum":613.02,"maximum":34908.37,"payers_information":[{"payer_name":"Absolute Total Care ","plan_name":"MCR","standard_charge_dollar":14109.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"HMO","standard_charge_dollar":34908.37,"methodology":"fee schedule"},{"payer_name":"Aetna ","plan_name":"MCR","standard_charge_dollar":13971.16,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"OpenAccess","standard_charge_dollar":34908.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"POS","standard_charge_dollar":34908.37,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"PPO","standard_charge_dollar":34908.37,"methodology":"fee schedule"},{"payer_name":"Alliance Hospice","plan_name":"MCR","standard_charge_dollar":13832.83,"methodology":"fee schedule"},{"payer_name":"BCBS ","plan_name":"MCR","standard_charge_dollar":14247.81,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"HMO","standard_charge_dollar":32140.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 3. "},{"payer_name":"Cigna","plan_name":"LocalPlus","standard_charge_dollar":19029.70,"methodology":"case rate","additional_payer_notes":"Days 1 - 3. "},{"payer_name":"Cigna","plan_name":"OAP","standard_charge_dollar":32140.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 3. "},{"payer_name":"Cigna","plan_name":"PPO","standard_charge_dollar":32140.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 3. "},{"payer_name":"Clover","plan_name":"MCR","standard_charge_dollar":14247.81,"methodology":"fee schedule"},{"payer_name":"Coventry","plan_name":"MGMCR","standard_charge_dollar":14109.49,"methodology":"fee schedule"},{"payer_name":"Employer's Health Network","plan_name":"WCOMP","standard_charge_percentage":80.00,"standard_charge_algorithm":"Reimbursement will be 80% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Eon Health","plan_name":"MCR","standard_charge_dollar":14801.13,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 3. "},{"payer_name":"First Health","plan_name":"PPO","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Friday Health","plan_name":"HIX","standard_charge_dollar":22692.90,"methodology":"fee schedule"},{"payer_name":"Georgia Assurance","plan_name":"MCR","standard_charge_dollar":14524.47,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 3. "},{"payer_name":"Health Net ","plan_name":"FED","standard_charge_dollar":13417.85,"methodology":"fee schedule"},{"payer_name":"HEALTH ONE ALLIANCE","plan_name":"COMM","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Health One Alliance","plan_name":"COMMHIX","standard_charge_dollar":14799.72,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"MCRHMO","standard_charge_dollar":13971.16,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"PFFS","standard_charge_dollar":13971.16,"methodology":"fee schedule"},{"payer_name":"HealthSpring","plan_name":"PPO","standard_charge_dollar":13971.16,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"COMM","standard_charge_dollar":15577.92,"methodology":"fee schedule"},{"payer_name":"Humana","plan_name":"MGMCR","standard_charge_dollar":13832.83,"methodology":"fee schedule"},{"payer_name":"Identity MCO","plan_name":"WorkersComp","standard_charge_dollar":18261.00,"methodology":"fee schedule"},{"payer_name":"Industry Buying Group","plan_name":"COMM","standard_charge_percentage":75.00,"standard_charge_algorithm":"Reimbursement will be 75% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Medcost","plan_name":"NEWULTRA","standard_charge_percentage":50.60,"standard_charge_algorithm":"Reimbursement will be 50.6% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Medcost","plan_name":"STANDARD","standard_charge_percentage":64.50,"standard_charge_algorithm":"Reimbursement will be 64.5% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"MultiPlan ","plan_name":"Complementary","standard_charge_percentage":90.00,"standard_charge_algorithm":"Reimbursement will be 90% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"MultiPlan ","plan_name":"Primary","standard_charge_dollar":33959.67,"methodology":"fee schedule"},{"payer_name":"NHC Advantage","plan_name":"MGMCR","standard_charge_dollar":14801.13,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 3. "},{"payer_name":"NovaNet","plan_name":"COMM","standard_charge_percentage":90.00,"standard_charge_algorithm":"Reimbursement will be 90% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Odyssey Hospice","plan_name":"COMM","standard_charge_dollar":613.02,"methodology":"per diem"},{"payer_name":"Peach State (Ambetter)","plan_name":"HIX","standard_charge_dollar":13245.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 3.  If billable gross charges exceed threshold of $275499.00, reimbursement will be $4415 per diem instead of the contracted rate."},{"payer_name":"Performax","plan_name":"COMM","standard_charge_percentage":68.00,"standard_charge_algorithm":"Reimbursement will be 68% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Prime Health ","plan_name":"WORKERSCOMP","standard_charge_dollar":17530.56,"methodology":"fee schedule"},{"payer_name":"Pruitt Health","plan_name":"MCR","standard_charge_dollar":14801.13,"methodology":"fee schedule","additional_payer_notes":"Days 1 - 3. "},{"payer_name":"QTC Medical Group","plan_name":"COMM","standard_charge_dollar":16599.40,"methodology":"fee schedule"},{"payer_name":"Regency Hospice","plan_name":"MCR","standard_charge_dollar":13832.83,"methodology":"fee schedule"},{"payer_name":"Rockport United Network","plan_name":"WORKERSCOMP","standard_charge_dollar":17895.78,"methodology":"fee schedule"},{"payer_name":"Shared Health","plan_name":"MGMCR","standard_charge_dollar":14524.47,"methodology":"fee schedule"},{"payer_name":"Southeast Hospice","plan_name":"MCR","standard_charge_dollar":13832.83,"methodology":"fee schedule"},{"payer_name":"St Joseph Hospice","plan_name":"COMM","standard_charge_dollar":13832.83,"methodology":"fee schedule"},{"payer_name":"United","plan_name":"AllPayerAppendix","standard_charge_dollar":12345.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 4. "},{"payer_name":"United","plan_name":"NarrowNetworkIndividualExchange","standard_charge_dollar":9338.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 4. "},{"payer_name":"United","plan_name":"OptionsPPO","standard_charge_percentage":24.90,"standard_charge_algorithm":"Reimbursement will be 24.9% of billable gross charges.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"United","plan_name":"VACCN","standard_charge_dollar":13832.83,"methodology":"fee schedule"},{"payer_name":"United Hospice","plan_name":"MCR","standard_charge_dollar":13141.19,"methodology":"fee schedule"},{"payer_name":"Wellcare","plan_name":"MCR","standard_charge_dollar":14109.49,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"MCRHMO","standard_charge_dollar":14109.49,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PFFS","standard_charge_dollar":14109.49,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"POS","standard_charge_dollar":14109.49,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"PPO","standard_charge_dollar":14109.49,"methodology":"fee schedule"},{"payer_name":"WellCare  ","plan_name":"SNP","standard_charge_dollar":14109.49,"methodology":"fee schedule"}]}]},{"description":"CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ","code_information":[{"code":"220","type":"MS-DRG"}],"standard_charges":[{"setting":"inpatient","minimum":613.02,"maximum":97441.33,"payers_information":[{"payer_name":"Absolute Total Care ","plan_name":"MCR","standard_charge_dollar":36409.49,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"HMO","standard_charge_dollar":97441.33,"methodology":"fee schedule"},{"payer_name":"Aetna ","plan_name":"MCR","standard_charge_dollar":36052.54,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"OpenAccess","standard_charge_dollar":97441.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"POS","standard_charge_dollar":97441.33,"methodology":"fee schedule"},{"payer_name":"Aetna","plan_name":"PPO","standard_charge_dollar":97441.33,"methodology":"fee schedule"},{"payer_name":"Alliance Hospice","plan_name":"MCR","standard_charge_dollar":35695.58,"methodology":"fee schedule"},{"payer_name":"BCBS ","plan_name":"MCR","standard_charge_dollar":36766.45,"methodology":"fee schedule"},{"payer_name":"Cigna","plan_name":"HMO","standard_charge_dollar":64280.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 7. "},{"payer_name":"Cigna","plan_name":"LocalPlus","standard_charge_dollar":38060.50,"methodology":"case rate","additional_payer_notes":"Days 1 - 7. "},{"payer_name":"Cigna","plan_name":"OAP","standard_charge_dollar":64280.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 7. "},{"payer_name":"Cigna","plan_name":"PPO","standard_charge_dollar":64280.00,"methodology":"case rate","additional_payer_notes":"Days 1 - 7. 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rate."},{"payer_name":"BCBS","plan_name":"HMO","standard_charge_dollar":1561.15,"methodology":"per diem","additional_payer_notes":" If billable gross charges exceed threshold of $282128.00, reimbursement will be 35.7% of billable gross charges instead of the contracted rate."},{"payer_name":"BCBS","plan_name":"HPN","standard_charge_dollar":1261.22,"methodology":"per diem","additional_payer_notes":" If billable gross charges exceed threshold of $282128.00, reimbursement will be 28.9% of billable gross charges instead of the contracted rate."},{"payer_name":"BCBS","plan_name":"Pathway","standard_charge_dollar":1359.66,"methodology":"per diem","additional_payer_notes":" If billable gross charges exceed threshold of $282128.00, reimbursement will be 31.2% of billable gross charges instead of the contracted rate."},{"payer_name":"BCBS","plan_name":"PPO","standard_charge_dollar":1630.36,"methodology":"per diem","additional_payer_notes":" If billable gross charges exceed threshold of 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rate."},{"payer_name":"BCBS","plan_name":"HMO","standard_charge_dollar":1951.45,"methodology":"per diem","additional_payer_notes":" If billable gross charges exceed threshold of $282128.00, reimbursement will be 35.7% of billable gross charges instead of the contracted rate."},{"payer_name":"BCBS","plan_name":"HPN","standard_charge_dollar":1576.54,"methodology":"per diem","additional_payer_notes":" If billable gross charges exceed threshold of $282128.00, reimbursement will be 28.9% of billable gross charges instead of the contracted rate."},{"payer_name":"BCBS","plan_name":"Pathway","standard_charge_dollar":1699.58,"methodology":"per diem","additional_payer_notes":" If billable gross charges exceed threshold of $282128.00, reimbursement will be 31.2% of billable gross charges instead of the contracted rate."},{"payer_name":"BCBS","plan_name":"PPO","standard_charge_dollar":2037.96,"methodology":"per diem","additional_payer_notes":" If billable gross charges exceed threshold of $282128.00, reimbursement will be 37.3% of billable gross charges instead of the contracted rate."},{"payer_name":"Coventry","plan_name":"MGMCR","standard_charge_dollar":1198.00,"methodology":"case rate"},{"payer_name":"Friday Health","plan_name":"HIX","standard_charge_dollar":1435.00,"methodology":"per diem"},{"payer_name":"Health One Alliance","plan_name":"COMMHIX","standard_charge_dollar":2000.00,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"COMM","standard_charge_dollar":1672.18,"methodology":"per diem"},{"payer_name":"Kaiser Permanente","plan_name":"HMO","standard_charge_dollar":3509.00,"methodology":"case rate"},{"payer_name":"MultiPlan ","plan_name":"Primary","standard_charge_dollar":3234.00,"methodology":"per diem"},{"payer_name":"United","plan_name":"AllPayerAppendix","standard_charge_dollar":1593.00,"methodology":"per diem","additional_payer_notes":" If billable gross charges exceed threshold of $348937.00, reimbursement will be $4079 per diem instead of the contracted rate."},{"payer_name":"United","plan_name":"NarrowNetworkIndividualExchange","standard_charge_dollar":1206.00,"methodology":"per diem","additional_payer_notes":" If billable gross charges exceed threshold of $323090.00, reimbursement will be $3086 per diem instead of the contracted rate."},{"payer_name":"Wellcare","plan_name":"MCR","standard_charge_dollar":809.00,"methodology":"per diem"}]}]},{"description":" Trauma Response - Other   ","code_information":[{"code":"689","type":"RC"}],"standard_charges":[{"setting":"inpatient","minimum":6000.00,"maximum":8312.19,"payers_information":[{"payer_name":"Absolute Total Care ","plan_name":"MCR","standard_charge_dollar":6000.00,"methodology":"case rate"},{"payer_name":"BCBS","plan_name":"HIX","standard_charge_dollar":6932.05,"methodology":"case rate","additional_payer_notes":"Days 0 - 1.  If billable gross charges exceed threshold of $282128.00, reimbursement will be 31.2% of billable gross charges instead of the contracted rate."},{"payer_name":"BCBS","plan_name":"HMO","standard_charge_dollar":7959.31,"methodology":"case rate","additional_payer_notes":"Days 0 - 1.  If billable gross charges exceed threshold of $282128.00, reimbursement will be 35.7% of billable gross charges instead of the contracted rate."},{"payer_name":"BCBS","plan_name":"HPN","standard_charge_dollar":6430.18,"methodology":"case rate","additional_payer_notes":"Days 0 - 1.  If billable gross charges exceed threshold of $282128.00, reimbursement will be 28.9% of billable gross charges instead of the contracted rate."},{"payer_name":"BCBS","plan_name":"Pathway","standard_charge_dollar":6932.05,"methodology":"case rate","additional_payer_notes":"Days 0 - 1.  If billable gross charges exceed threshold of $282128.00, reimbursement will be 31.2% of billable gross charges instead of the contracted rate."},{"payer_name":"BCBS","plan_name":"PPO","standard_charge_dollar":8312.19,"methodology":"case rate","additional_payer_notes":"Days 0 - 1.  If billable gross charges exceed threshold of $282128.00, reimbursement will be 37.3% of billable gross charges instead of the contracted rate."},{"payer_name":"Eon Health","plan_name":"MCR","standard_charge_percentage":50.00,"standard_charge_algorithm":"In addition to other contracted rates, reimbursement will be 50% of billable gross charges in addition to other contracted rates.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Georgia Assurance","plan_name":"MCR","standard_charge_dollar":8000.00,"methodology":"case rate"},{"payer_name":"NHC Advantage","plan_name":"MGMCR","standard_charge_percentage":50.00,"standard_charge_algorithm":"In addition to other contracted rates, reimbursement will be 50% of billable gross charges in addition to other contracted rates.","estimated_amount":9.999999990000000e+008,"methodology":"percent of total billed charges"},{"payer_name":"Pruitt 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instead of the contracted rate."},{"payer_name":"BCBS","plan_name":"Pathway","standard_charge_dollar":1699.58,"methodology":"per diem","additional_payer_notes":" If billable gross charges exceed threshold of $282128.00, reimbursement will be 31.2% of billable gross charges instead of the contracted rate."},{"payer_name":"BCBS","plan_name":"PPO","standard_charge_dollar":2037.96,"methodology":"per diem","additional_payer_notes":" If billable gross charges exceed threshold of $282128.00, reimbursement will be 37.3% of billable gross charges instead of the contracted rate."},{"payer_name":"Coventry","plan_name":"MGMCR","standard_charge_dollar":1198.00,"methodology":"case rate"},{"payer_name":"Friday Health","plan_name":"HIX","standard_charge_dollar":1435.00,"methodology":"per diem"},{"payer_name":"Health One Alliance","plan_name":"COMMHIX","standard_charge_dollar":2000.00,"methodology":"per diem"},{"payer_name":"Humana","plan_name":"COMM","standard_charge_dollar":1672.18,"methodology":"per 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rate."},{"payer_name":"BCBS","plan_name":"Pathway","standard_charge_dollar":1359.66,"methodology":"per diem","additional_payer_notes":" If billable gross charges exceed threshold of $282128.00, reimbursement will be 31.2% of billable gross charges instead of the contracted rate."},{"payer_name":"BCBS","plan_name":"PPO","standard_charge_dollar":1630.36,"methodology":"per diem","additional_payer_notes":" If billable gross charges exceed threshold of $282128.00, reimbursement will be 37.3% of billable gross charges instead of the contracted rate."},{"payer_name":"Friday Health","plan_name":"HIX","standard_charge_dollar":2547.00,"methodology":"per diem"},{"payer_name":"Health One Alliance","plan_name":"COMMHIX","standard_charge_dollar":1200.00,"methodology":"case rate"},{"payer_name":"Humana","plan_name":"COMM","standard_charge_dollar":1157.99,"methodology":"per diem"},{"payer_name":"Kaiser Permanente","plan_name":"HMO","standard_charge_dollar":2247.00,"methodology":"case 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