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services performed during 15-month lookback period."},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"other","standard_charge_algorithm":"[All Other IP (%BC): 95.3]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[All Other IP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Appendix Procedures Without 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The allowed amount provided accounts for the structural rates, conditions, and utilization elements inherent in the payer’s algorithm."}]}]},{"description":"Level 2 Type A ED Visits","code_information":[{"code":"5022","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"11","median_amount":2029.38,"10th_percentile":916.06,"90th_percentile":3222.17},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"18","median_amount":1788.33,"10th_percentile":966.17,"90th_percentile":3151.56},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":4022.29,"10th_percentile":4022.29,"90th_percentile":4022.29},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"1 through 10","median_amount":2508.38,"10th_percentile":2508.38,"90th_percentile":3171.6,"additional_payer_notes":"Contracting method is an algorithm described in the 'standard_charges|algorithm' field. The allowed amount provided accounts for the structural rates, conditions, and utilization elements inherent in the payer’s algorithm."}]}]},{"description":"Level 3 Type A ED Visits","code_information":[{"code":"5023","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"46","median_amount":2447.26,"10th_percentile":1603.33,"90th_percentile":3270.15},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"87","median_amount":2148.9,"10th_percentile":793.46,"90th_percentile":3123.86},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"12","median_amount":2971.76,"10th_percentile":1211.01,"90th_percentile":4196.87},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":3078.06,"10th_percentile":3078.06,"90th_percentile":3078.06},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"1 through 10","median_amount":2269.86,"10th_percentile":1056.25,"90th_percentile":2857.88},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"16","median_amount":2359.22,"10th_percentile":604.02,"90th_percentile":4017.44,"additional_payer_notes":"Contracting method is an algorithm described in the 'standard_charges|algorithm' field. The allowed amount provided accounts for the structural rates, conditions, and utilization elements inherent in the payer’s algorithm."}]}]},{"description":"Level 4 Type A ED Visits","code_information":[{"code":"5024","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"65","median_amount":5510.59,"10th_percentile":4214.04,"90th_percentile":7598.34},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"106","median_amount":5035.06,"10th_percentile":3557.49,"90th_percentile":7588.71},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"11","median_amount":5021.0,"10th_percentile":3519.84,"90th_percentile":6443.08},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"1 through 10","median_amount":4779.66,"10th_percentile":4026.66,"90th_percentile":5455.59},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"14","median_amount":4127.13,"10th_percentile":2866.71,"90th_percentile":6547.98,"additional_payer_notes":"Contracting method is an algorithm described in the 'standard_charges|algorithm' field. The allowed amount provided accounts for the structural rates, conditions, and utilization elements inherent in the payer’s algorithm."}]}]},{"description":"Level 5 Type A ED Visits","code_information":[{"code":"5025","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"54","median_amount":12368.59,"10th_percentile":7619.25,"90th_percentile":17149.02},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"81","median_amount":10994.19,"10th_percentile":5475.18,"90th_percentile":15819.53},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":7398.84,"10th_percentile":6223.88,"90th_percentile":25643.5},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"1 through 10","median_amount":11239.97,"10th_percentile":11239.97,"90th_percentile":11239.97},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"1 through 10","median_amount":12511.49,"10th_percentile":5306.6,"90th_percentile":21176.02,"additional_payer_notes":"Contracting method is an algorithm described in the 'standard_charges|algorithm' field. The allowed amount provided accounts for the structural rates, conditions, and utilization elements inherent in the payer’s algorithm."}]}]},{"description":"Critical Care","code_information":[{"code":"5041","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":20112.53,"10th_percentile":19648.04,"90th_percentile":27210.54},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":16649.47,"10th_percentile":13924.09,"90th_percentile":24065.19},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 2 Skin Procedures","code_information":[{"code":"5052","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":5277.36,"10th_percentile":3888.48,"90th_percentile":5550.95},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":4173.06,"10th_percentile":3450.68,"90th_percentile":5949.68},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":3940.4,"10th_percentile":3940.4,"90th_percentile":3940.4},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 3 Skin 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charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 2 Excision/ Biopsy/ Incision and Drainage","code_information":[{"code":"5072","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":7154.04,"10th_percentile":7154.04,"90th_percentile":7154.04},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 2 Musculoskeletal Procedures","code_information":[{"code":"5112","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":13349.53,"10th_percentile":13349.53,"90th_percentile":13349.53},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":39200.07,"10th_percentile":39200.07,"90th_percentile":39200.07},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"1 through 10","median_amount":9188.91,"10th_percentile":9188.91,"90th_percentile":9188.91,"additional_payer_notes":"Contracting method is an algorithm described in the 'standard_charges|algorithm' field. The allowed amount provided accounts for the structural rates, conditions, and utilization elements inherent in the payer’s algorithm."}]}]},{"description":"Level 2 ENT Procedures","code_information":[{"code":"5162","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":4322.69,"10th_percentile":4322.69,"90th_percentile":4322.69},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 1 Blood Product Exchange and Related Services","code_information":[{"code":"5241","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":16948.57,"10th_percentile":16948.57,"90th_percentile":16948.57},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":19748.52,"10th_percentile":19748.52,"90th_percentile":19748.52},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 1 Upper GI Procedures","code_information":[{"code":"5301","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":22782.13,"10th_percentile":22782.13,"90th_percentile":22782.13},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 1 Gynecologic Procedures","code_information":[{"code":"5411","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"1 through 10","median_amount":1302.64,"10th_percentile":1302.64,"90th_percentile":1302.64},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 1 Nerve Injections","code_information":[{"code":"5441","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":3343.83,"10th_percentile":3343.83,"90th_percentile":3343.83},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 1 Imaging without Contrast","code_information":[{"code":"5521","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"67","median_amount":680.12,"10th_percentile":406.7,"90th_percentile":1758.12},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"103","median_amount":680.12,"10th_percentile":399.76,"90th_percentile":1527.82},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":480.24,"10th_percentile":467.46,"90th_percentile":680.12},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"1 through 10","median_amount":599.76,"10th_percentile":506.92,"90th_percentile":680.12},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"1 through 10","median_amount":560.56,"10th_percentile":456.14,"90th_percentile":673.53,"additional_payer_notes":"Contracting method is an algorithm described in the 'standard_charges|algorithm' field. The allowed amount provided accounts for the structural rates, conditions, and utilization elements inherent in the payer’s algorithm."}]}]},{"description":"Level 2 Imaging without Contrast","code_information":[{"code":"5522","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"63","median_amount":988.62,"10th_percentile":497.84,"90th_percentile":2353.96},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"95","median_amount":989.8,"10th_percentile":569.1,"90th_percentile":2340.64},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":2095.0,"10th_percentile":1098.58,"90th_percentile":4009.79},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"1 through 10","median_amount":1069.32,"10th_percentile":963.68,"90th_percentile":2453.37},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"1 through 10","median_amount":871.08,"10th_percentile":670.33,"90th_percentile":2546.98,"additional_payer_notes":"Contracting method is an algorithm described in the 'standard_charges|algorithm' field. The allowed amount provided accounts for the structural rates, conditions, and utilization elements inherent in the payer’s algorithm."}]}]},{"description":"Level 3 Imaging without Contrast","code_information":[{"code":"5523","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":1384.74,"10th_percentile":1107.79,"90th_percentile":6197.52},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 4 Imaging without Contrast","code_information":[{"code":"5524","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":1287.72,"10th_percentile":1287.72,"90th_percentile":1287.72},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 1 Imaging with Contrast","code_information":[{"code":"5571","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":3931.76,"10th_percentile":3161.88,"90th_percentile":11828.6},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"12","median_amount":5737.9,"10th_percentile":3474.49,"90th_percentile":13093.78},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"1 through 10","median_amount":6186.37,"10th_percentile":6186.37,"90th_percentile":6186.37},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"1 through 10","median_amount":10415.3,"10th_percentile":10415.3,"90th_percentile":10415.3,"additional_payer_notes":"Contracting method is an algorithm described in the 'standard_charges|algorithm' field. The allowed amount provided accounts for the structural rates, conditions, and utilization elements inherent in the payer’s algorithm."}]}]},{"description":"Level 2 Imaging with Contrast","code_information":[{"code":"5572","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":7070.7,"10th_percentile":6643.13,"90th_percentile":8934.66},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":7340.2,"10th_percentile":7340.2,"90th_percentile":8736.7},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 3 Pathology","code_information":[{"code":"5673","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":1796.34,"10th_percentile":1796.34,"90th_percentile":1796.34},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 2 Drug Administration","code_information":[{"code":"5692","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":25449.18,"10th_percentile":25449.18,"90th_percentile":25449.18},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 3 Drug Administration","code_information":[{"code":"5693","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"17","median_amount":37465.33,"10th_percentile":9998.66,"90th_percentile":60448.26},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"24","median_amount":4758.57,"10th_percentile":2424.52,"90th_percentile":6021.05},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"1 through 10","median_amount":6616.05,"10th_percentile":6616.05,"90th_percentile":6616.05,"additional_payer_notes":"Contracting method is an algorithm described in the 'standard_charges|algorithm' field. The allowed amount provided accounts for the structural rates, conditions, and utilization elements inherent in the payer’s algorithm."}]}]},{"description":"Level 4 Drug Administration","code_information":[{"code":"5694","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":4219.79,"10th_percentile":4219.79,"90th_percentile":4219.79},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":28341.6,"10th_percentile":9612.15,"90th_percentile":35648.54},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 1 Minor Procedures","code_information":[{"code":"5731","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":3202.64,"10th_percentile":3183.04,"90th_percentile":4580.52},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":2384.24,"10th_percentile":2384.24,"90th_percentile":2384.24},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 3 Minor Procedures","code_information":[{"code":"5733","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":608.58,"10th_percentile":608.58,"90th_percentile":608.58},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":1213.24,"10th_percentile":1213.24,"90th_percentile":1423.94},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Level 4 Minor Procedures","code_information":[{"code":"5734","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":981.96,"10th_percentile":929.04,"90th_percentile":1630.5},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":1188.74,"10th_percentile":721.2,"90th_percentile":1754.2},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"1 through 10","median_amount":2489.91,"10th_percentile":2489.91,"90th_percentile":2489.91},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]},{"description":"Clinical Diagnostic Lab Services","code_information":[{"code":"N800","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"185","median_amount":510.58,"10th_percentile":148.18,"90th_percentile":1413.88},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"297","median_amount":583.1,"10th_percentile":169.97,"90th_percentile":1061.76},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":815.36,"10th_percentile":491.47,"90th_percentile":2028.6},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"1 through 10","median_amount":285.14,"10th_percentile":110.55,"90th_percentile":705.31},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"1 through 10","median_amount":286.3,"10th_percentile":205.75,"90th_percentile":2547.26,"additional_payer_notes":"Contracting method is an algorithm described in the 'standard_charges|algorithm' field. The allowed amount provided accounts for the structural rates, conditions, and utilization elements inherent in the payer’s algorithm."}]}]},{"description":"Therapy Services","code_information":[{"code":"N801","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"136","median_amount":1446.84,"10th_percentile":552.92,"90th_percentile":3972.92},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"267","median_amount":1591.52,"10th_percentile":596.81,"90th_percentile":3616.2},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"12","median_amount":760.0,"10th_percentile":232.16,"90th_percentile":3657.0},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"18","median_amount":2216.74,"10th_percentile":1023.41,"90th_percentile":5187.85,"additional_payer_notes":"Contracting method is an algorithm described in the 'standard_charges|algorithm' field. The allowed amount provided accounts for the structural rates, conditions, and utilization elements inherent in the payer’s algorithm."}]}]},{"description":"Mammography Services","code_information":[{"code":"N804","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"51","median_amount":913.36,"10th_percentile":794.78,"90th_percentile":913.36},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"49","median_amount":913.36,"10th_percentile":794.78,"90th_percentile":913.36},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"1 through 10","median_amount":885.4,"10th_percentile":885.4,"90th_percentile":885.4},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"1 through 10","median_amount":904.51,"10th_percentile":904.51,"90th_percentile":904.51,"additional_payer_notes":"Contracting method is an algorithm described in the 'standard_charges|algorithm' field. The allowed amount provided accounts for the structural rates, conditions, and utilization elements inherent in the payer’s algorithm."}]}]},{"description":"Other Medicine","code_information":[{"code":"N809","type":"APC"}],"standard_charges":[{"setting":"outpatient","billing_class":"facility","payers_information":[{"payer_name":"Aetna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Bcbs","plan_name":"Premera All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"1 through 10","median_amount":1036.14,"10th_percentile":1036.14,"90th_percentile":1036.14},{"payer_name":"Cigna","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"First Choice","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":98.0,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Moda","plan_name":"All Commercial Plans","methodology":"percent of total billed charges","standard_charge_percentage":95.3,"count":"0","additional_payer_notes":"No services performed during 15-month lookback period."},{"payer_name":"Unitedhealthcare","plan_name":"All Payer All Commercial Plans","methodology":"other","standard_charge_algorithm":"[OP Surgery  (%BC): 97.05] [Observation (%BC): 97.05] [Emergency Department (%BC): 97.05] [Occupational Therapy (%BC): 97.05] [Physical Therapy (%BC): 97.05] [Respiratory Services/Therapy  (%BC): 97.05] [Speech Therapy (%BC): 97.05] [All Other OP (%BC): 97.05]","count":"0","additional_payer_notes":"No services performed during 15-month lookback period."}]}]}]}